自体血回输在脾破裂手术中的应用  

The application of autologous blood transfusion in splenic breakage surgery

作　　者：黄蓉[1] 张菊明[1] 

机构地区：[1]宜宾市第一人民医院手术室,四川宜宾644000

出　　处：《中国民康医学》2011年第13期1600-1601,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨脾破裂手术中采用自体血液回输的安全性和效果。方法:选择75例脾破裂手术患者,分为研究组(36例)和对照组(39例),研究组采用自体血回输,对照组采用异体输血,比较两组异体输血量、术后血红蛋白、血小板、血清电解质变化及输血后并发症的发生率。结果:研究组平均输入异体血(299.16±38.65)ml;对照组平均输入异体血(1050.28±72.57)ml,两组间差异有显著性(P<0.01);两组患者术后血红蛋白、电解质相比无统计学差异(P>0.05),研究组患者中仅用自体输血者无输血并发症发生,术后恢复顺利。结论:在脾破裂手术中采用自体血液回输安全有效,可节约血源,减少异体输血量,避免并发症。Objective：To investigate the efficacy and safty of autologous blood transfusion in splenic breakage surgery.Methods：75 cases of patients selected were divided into experimental group（36 cases） and control group（39 cases）.Experimental group received autologous blood transfusion and the control group treated with allogeneic,then compare the amount of allogeneic blood transfusion,postoperative hemoglobin,platelet,serum electrolyte changes and the incidence of complications after blood transfusion.Results： The average input of blood transfusion in experimental group is（299.16±38.65）ml and the control group is（1050.28±72.57）ml.There were significant differences between two groups（P0.01）,but the postoperative hemoglobin,platelet,electrolyte no significant differences（P0.05）.There is not a case of complication in experimental group received only autologous blood transfusion.Conclusions： Splenic breakage surgery with autologous blood transfusion is safe and effective,decreasing the use of allogeneic blood,avoiding the blood transfusion complication.

关 键 词：自体输血 脾破裂 手术 并发症 

分 类 号：R657.62[医药卫生—外科学]